The prevention of meconium aspiration in labor using amnioinfusion.

Abstract:

:In an effort to improve maternal and fetal outcome in patients laboring with thick meconium, 85 patients presenting with thick meconium were randomized to receive either amnioinfusion with 1000 mL normal saline initially and every 6 hours until delivery, or routine care. Meconium was discovered on initial examination during labor, after artificial rupture of membranes, through the use of an intrauterine pressure catheter, or on amniocentesis. Labor management was otherwise routine. Forceps operations and cesarean sections were for distress or failure to progress, as indicated. Patients receiving amnioinfusion had significantly fewer low 1-minute Apgar scores, less meconium below the cords, and a significantly lower incidence of operative delivery. The only three cases of meconium aspiration syndrome occurred in infants delivered of patients receiving routine management. No adverse side effects of amnioinfusion were detected. Amnioinfusion is a simple, inexpensive, and safe technique that reduces the incidence of meconium below the cords and improves obstetric outcome in patients laboring with thick meconium.

journal_name

Obstet Gynecol

authors

Wenstrom KD,Parsons MT

subject

Has Abstract

pub_date

1989-04-01 00:00:00

pages

647-51

issue

4

eissn

0029-7844

issn

1873-233X

journal_volume

73

pub_type

临床试验,杂志文章,随机对照试验
  • Outpatient treatment of pyelonephritis in pregnancy: a randomized controlled trial.

    abstract:OBJECTIVE:To compare the safety and efficacy of outpatient and inpatient treatment of pyelonephritis in pregnancy. METHODS:We performed a randomized controlled trial of pregnant women with pyelonephritis before 24 weeks' estimated gestational age, comparing inpatient and outpatient treatment. Sixty inpatients received...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0029-7844(95)00244-l

    authors: Millar LK,Wing DA,Paul RH,Grimes DA

    更新日期:1995-10-01 00:00:00

  • Preoperative core needle biopsy as an independent risk factor for wound infection after breast surgery.

    abstract:OBJECTIVE:Diverging findings concerning the rate of postoperative wound infections in patients undergoing breast surgery have been reported, and little is known regarding the possible risk factors for these infections and their relative importance. We assessed risk factors for wound infection, placing particular emphas...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00044-9

    authors: Witt A,Yavuz D,Walchetseder C,Strohmer H,Kubista E

    更新日期:2003-04-01 00:00:00

  • Hand-held computer operating system program for collection of resident experience data.

    abstract:OBJECTIVE:To describe a system for recording resident experience involving hand-held computers with the Palm Operating System (3 Com, Inc., Santa Clara, CA). PROGRAM DESCRIPTION:Hand-held personal computers (PCs) are popular, easy to use, inexpensive, portable, and can share data among other operating systems. Residen...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01015-2

    authors: Malan TK,Haffner WH,Armstrong AY,Satin AJ

    更新日期:2000-11-01 00:00:00

  • Serum C-reactive protein and Chlamydia trachomatis antibodies in preterm delivery.

    abstract:OBJECTIVE:To assess the association between Chlamydia trachomatis antibodies, antibodies to C trachomatis heat shock proteins 60 and 10, and C-reactive protein (CRP) levels in maternal serum measured by highly sensitive CRP assay during the first trimester and spontaneous preterm delivery before 37 weeks of gestation. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000164464.11979.5d

    authors: Karinen L,Pouta A,Bloigu A,Koskela P,Paldanius M,Leinonen M,Saikku P,Jêrvelin MR,Hartikainen AL

    更新日期:2005-07-01 00:00:00

  • Fatal peritonitis following IUD-associated salpingitis.

    abstract::Previous reports have implicated the Dalkon shield intrauterine device (IUD) in septic second trimester abortion and maternal death from sepsis. In the case reported here, Fusobacterium necrophorum, a rarely pathogenic vaginal anaerobe, gained access to the uterus in a woman wearing a Dalkon shield and caused acute pa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Maloy AL,Meier FA,Karl RC

    更新日期:1981-09-01 00:00:00

  • Ultrasonic assessment of fetal response to second-trimester amniocentesis.

    abstract::Twenty-three patients undergoing second-trimester amniocentesis were ultrasonically monitored for 30 minutes before and 30 minutes after the amniocentesis. Fetal movements were recorded as movements of limbs, trunk, or combined limb-trunk movements. Fetal heart rates were determined at ten-minute intervals before and ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gianopoulos J,Elias SS,Simpson JL,Tamura R

    更新日期:1986-03-01 00:00:00

  • Menstruation in young girls: a clinical perspective.

    abstract::The ACOG has recommended that the initial visit to an obstetrician-gynecologist for health guidance, screening, and provision of preventive services should take place around age 13-15. At this visit, clinicians can provide guidance to young girls and their parents on adolescent physical development based on data that ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0029-7844(02)01660-5

    authors: Adams Hillard PJ

    更新日期:2002-04-01 00:00:00

  • Diagnosis of a supernumerary ovary with human chorionic gonadotropin.

    abstract::The preoperative diagnosis of ectopic ovarian tissue has been reported only once in the literature. In the present case, differential ovarian and adrenal testing was used to diagnose and aberrant ovarian source of persistently elevated plasma estrogen in a patient who had undergone bilateral oophorectomy and adrenalec...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kosasa TS,Griffiths CT,Shane JM,Leventhal JM,Naftolin F

    更新日期:1976-02-01 00:00:00

  • The mechanism of reduced antithrombin III activity in women with preeclampsia.

    abstract::The cause(s) of the low plasma antithrombin III activity in women with preeclampsia is unknown. The purpose of this study was to evaluate the relationship between plasma antithrombin III activity and both clotting parameters (platelet count and fibrinopeptide A) and renal parameters (serum creatinine and uric acid con...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198812000-00006

    authors: Weiner CP

    更新日期:1988-12-01 00:00:00

  • Committee Opinion No. 655: Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus Infections in Obstetrician-Gynecologists.

    abstract::To prevent transmission of bloodborne pathogens, it is important that health care providers adhere to standard precautions, follow fundamental infection-control principles, and use appropriate procedural techniques. All obstetrician-gynecologists who provide clinical care should receive the hepatitis B virus vaccine s...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001315

    authors: American College of Obstetricians and Gynecologists' Committee on Gynecological Practice.

    更新日期:2016-02-01 00:00:00

  • Committee Opinion No. 719: Multifetal Pregnancy Reduction.

    abstract::Although not all multifetal pregnancies occur after the use of assisted reproductive technology, fertility treatments have contributed significantly to the increase in multifetal pregnancies. In almost all cases, it is preferable to avoid the risk of higher-order multifetal pregnancy by limiting the number of embryos ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000002302

    authors:

    更新日期:2017-09-01 00:00:00

  • Conservative management of maternal cervical vertebral hemangioma complicating pregnancy.

    abstract:BACKGROUND:Although vertebral hemangiomas are found in 10% of the population, they rarely become symptomatic. We describe management of an enlarging cervical vertebral hemangioma during pregnancy. CASE:A primiparous woman at 33 weeks of gestation presented with neck pain and paresthesias. She had a known cervical hema...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000507

    authors: Foster L,Davidson K,Egerman R

    更新日期:2015-03-01 00:00:00

  • Academic manpower for obstetrics and gynecology in the United States.

    abstract::All 119 medical schools in the United States provided information for a study of academic manpower conducted by the Association of Professors of Gynecology and Obstetrics (APGO). The average number of full-time faculty members per medical school is 13.2, with 2 positions vacant per school. Subspecialists are concentra...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Messer RH,Pearse WH,Fielden JG

    更新日期:1979-05-01 00:00:00

  • Comparison between urinary 17-ketosteroids and serum androgens in hirsute patients.

    abstract::In order to ascertain the usefulness of urinary 17-ketosteroids (17-KS) in the evaluation of hirsutism, 28 paired determinations of 17-KS and serum androgens were performed in 26 hirsute women before (control) and after (post Dex) 7 days of dexamethasone (Dex) administration. Upper normal control and post Dex urinary ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Maroulis GB,Manlimos FS,Abraham GE

    更新日期:1977-04-01 00:00:00

  • Maternal mortality in developed countries: not just a concern of the past.

    abstract:OBJECTIVE:To review the activities in selected developed countries for strategies to identify maternal deaths, the impact of these strategies on underreporting, and the information needed to understand the events leading to death. DATA SOURCES:We reviewed the literature from the United States, Europe, and Australia fo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/0029-7844(95)00200-b

    authors: Atrash HK,Alexander S,Berg CJ

    更新日期:1995-10-01 00:00:00

  • Improved outcome of preterm infants when delivered in tertiary care centers.

    abstract:OBJECTIVE:Previous studies that compared outcomes of infants born outside tertiary care centers (outborn) with those born in tertiary care centers (inborn) did not account for admission illness severity and perinatal risks. The objective of this study was to examine whether outborn status is associated with higher mort...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01438-7

    authors: Chien LY,Whyte R,Aziz K,Thiessen P,Matthew D,Lee SK,Canadian Neonatal Network.

    更新日期:2001-08-01 00:00:00

  • Understanding risk: a randomized controlled trial of communicating contraceptive effectiveness.

    abstract:OBJECTIVE:To determine which of three different approaches increased women's understanding of risk of pregnancy associated with different contraceptive methods. METHODS:We randomly assigned 461 reproductive-age women to one of three tables presenting pregnancy risk (Food and Drug Administration table with numbers, Wor...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0029-7844(03)00662-8

    authors: Steiner MJ,Dalebout S,Condon S,Dominik R,Trussell J

    更新日期:2003-10-01 00:00:00

  • The prognostic value of antinuclear antibodies in women with recurrent pregnancy losses: a prospective controlled study.

    abstract::Because autoimmune diseases are suspected of causing some cases of recurrent pregnancy loss, we sought clinical and serologic evidence of such diseases in a group of 277 women with recurrent pregnancy loss. Using HEp-2 cells as targets for an indirect immunofluorescence test for antinuclear antibodies, we compared the...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Harger JH,Rabin BS,Marchese SG

    更新日期:1989-03-01 00:00:00

  • Verrucous carcinoma of the vulva associated with an unusual type 6 human papillomavirus.

    abstract::An unusually rapid growing vulvar verrucous carcinoma found associated with human papillomavirus type 6 is described. Both human papillomavirus structural antigens and deoxyribonucleic acid (DNA) sequences were detected in the tumor biopsy. The human papillomavirus genome was isolated and compared with the genome of h...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198603001-00021

    authors: Rando RF,Sedlacek TV,Hunt J,Jenson AB,Kurman RJ,Lancaster WD

    更新日期:1986-03-01 00:00:00

  • The pathologic spectrum of uterotubal junction obstruction.

    abstract::Excised tubal segments from 42 women with uterotubal junction obstruction were studied histologically to evaluate the pathologic spectrum of disease and correlate this with clinical data. The most frequent lesion encountered was obliterative fibrosis (38.1%), confirmed by connective tissue stains, which was not associ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Fortier KJ,Haney AF

    更新日期:1985-01-01 00:00:00

  • Contribution of endocervical curettage in evaluating abnormal cervical cytology.

    abstract::A review of 540 patients evaluated by the Gynecologic Colposcopy Clinic for abnormal cervical cytology revealed that 372 (68.9%) had cervical intraepithelial neoplasia (CIN), microinvasive carcinoma, or frank invasive carcinoma. The repeat cytologic smear taken before biopsy was falsely negative in 26.4%. An endocervi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198309000-00016

    authors: Drescher CW,Peters WA 3rd,Roberts JA

    更新日期:1983-09-01 00:00:00

  • Vaginal yeast colonization in nonpregnant women: a longitudinal study.

    abstract:OBJECTIVE:We sought to investigate the prevalence and risk factors for vaginal yeast colonization over a 1-year period. METHODS:We conducted a longitudinal cohort study of 1,248 asymptomatic young women by collecting demographic and behavioral data at baseline, 4, 8, and 12 months. RESULTS:Seventy percent of women we...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000140687.51048.73

    authors: Beigi RH,Meyn LA,Moore DM,Krohn MA,Hillier SL

    更新日期:2004-11-01 00:00:00

  • Parental chromosome translocations and fetal loss.

    abstract::The authors report on the incidence of translocations detected among 300 Greek couples referred for cytogenetic investigation because of repeated abortion, stillbirth, and/or the birth of children with multiple congenital anomalies. Translocations were detected in 16 cases, ie, 1 of 19 couples. However, the incidence ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Tsenghi C,Metaxotou C,Kalpini-Mavrou A,Strataki-Benetou M,Matsaniotis N

    更新日期:1981-10-01 00:00:00

  • Uterine papillary serous carcinoma.

    abstract::Reviewed are 37 patients with the diagnosis of uterine papillary serous carcinoma. Clinically, 19 patients presented as stage I, 9 as stage II, 1 as stage III, and 8 as stage IV. Four of 18 patients with clinical stage I disease who underwent surgery had pelvic metastases and five had disease spread beyond the pelvis....

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chambers JT,Merino M,Kohorn EI,Peschel RE,Schwartz PE

    更新日期:1987-01-01 00:00:00

  • One Hundred Years of Women's Suffrage: Health Care Advocacy, and Why We Vote.

    abstract::In recognition of the 100 anniversary of women's suffrage, we reviewed the difficulties reformists overcame in passing the 19th Amendment and discuss the similarities to current challenges in providing evidence-based, affordable, accessible women's health care. Many current health care problems arise from systemic, no...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000004009

    authors: Leininger WM,Gupta P

    更新日期:2020-08-01 00:00:00

  • Needle laparoscopy in patients with suspected bowel adhesions.

    abstract::Suspected bowel adhesions are generally considered to be a contraindication to laparoscopy. Among 32 patients who were refused laparoscopy for that reason, only 1 patient was found to have adhesions at laparotomy. To attempt preoperative diagnosis of intraabdominal adhesions, needle laparoscopy was performed in 21 pat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Cook WA

    更新日期:1977-01-01 00:00:00

  • Urinary calcium as an early marker for preeclampsia.

    abstract::Women who develop preeclampsia during pregnancy excrete less calcium than healthy pregnant women. Whether this reduction in calcium excretion precedes or follows hypertension is unknown. We prospectively measured urinary calcium excretion in 103 consecutive nulliparous women at risk for preeclampsia and presenting for...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sanchez-Ramos L,Jones DC,Cullen MT

    更新日期:1991-05-01 00:00:00

  • Informed Consent and Shared Decision Making in Obstetrics and Gynecology: ACOG Committee Opinion, Number 819.

    abstract:ABSTRACT:Meeting the ethical obligations of informed consent requires that an obstetrician-gynecologist gives the patient adequate, accurate, and understandable information and requires that the patient has the ability to understand and reason through this information and is free to ask questions and to make an intenti...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000004247

    authors:

    更新日期:2021-02-01 00:00:00

  • Unusual cystadenofibromas: endometrioid, mucinous, and clear cell types.

    abstract::Cystadenofibromas are benign ovarian neoplasms containing both epithelial and stromal components. The epithelial component is usually of simple serous type resembling fallopian tube epithelium. Occasionally, tumors with unusual epithelial pattenrs are encountered. In this study, 16 cystadenofibromas with unusual epith...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kao GF,Norris HJ

    更新日期:1979-12-01 00:00:00

  • Maximal exercise testing in late gestation: fetal responses.

    abstract:OBJECTIVE:To determine the fetal response to and safety of maximal maternal exercise in the third trimester. METHODS:Twenty-three active women with uncomplicated pregnancies (singleton gestations) underwent maximal exercise testing in late gestation using a progressive maximal cycle ergometer protocol. Fetal heart rat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)00940-6

    authors: MacPhail A,Davies GA,Victory R,Wolfe LA

    更新日期:2000-10-01 00:00:00